Sciatic Nerve Pain : Causes and Treatments

Sciatica

Sciatica is the name given to pain that is brought about by aggravation of the sciatic nerve. Anything that aggravates this nerve can cause extreme pain, that can vary between mild to extreme. Sciatica is typically brought about by a compacted nerve in the lower spine.

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Frequently, the expression "sciatica" is mistaken for general back pain and swelling in the back muscles. Be that as it may, sciatica isn't simply limited to the back. The sciatic nerve is the longest and most stretched out nerve in the human body. It keeps running from the lower back, through the bottom, and down the legs, finishing just beneath the knee.
This nerve controls a few muscles in the lower legs and supplies sensation to the skin of the foot and most of the lower leg. Sciatica isn't a condition itself but instead a side effect of another issue including the sciatic nerve. A few specialists have estimated that up to 40 percent of individuals will encounter sciatica in any event once in their life.
The sciatic nerve is the longest nerve in the human body. The most widely recognized reason for sciatica is a slipped (herniated) plate. Subjective social treatment can enable a few people to deal with the torment of sciatica. Sciatica isn't a condition; it is a basic symptom of problems with the sciatic nerve.

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Screening Department

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At the first step we do a professional spine scan , include:

Posture screen : This device performs posture exams and a comparative report of an individual’s posture. It can accurately measure angles and distances of posture displacements to detect any postural faults and imbalances of one’s body.

 
Foot and spine scan : Foot and spine scans are important in diagnosing the source of one’s pain. These appliances provide detailed images of the feet and spine and measures the pressure and weight distribution. This medical device will provide a report and compares those images to a healthy spine and feet. This allows for practitioner to identify any problems regarding with the feet or the spine based on how one stands or walks.
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Muscle testing by advanced surface EMG- EMG is short for electromyography. This technique detects for electric signals produced by skeletal muscles during muscle contractions. The signals are recorded and can then be analysed to identify any medical abnormalities of an individual’s nerves or muscles.
Musculoskeletal Ultrasound : This medical technique uses sound waves to depict images of muscles, tendons, ligaments and joints throughout the body. This is a safe, non-invasive procedure that is used to help diagnose sprains, strains, tears, and other musculoskeletal conditions.
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CLA neurotech system: This system is a combination of electromyography, thermography, and neuroPULSE to comprehensively perform spinal-neural examinations. This medical software assesses the overall activity of the autonomic nervous system as it detects and records stress levels and real-time reactions that occur within the spinal nerves.


Thermography:
Thermographic cameras are used to see individuals’ variation in temperature. This is a non-invasive and painless procedure that helps to detect any abnormal distributions of body heat throughout the body.
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Manual Therapy

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Our experts will manually treat you with painless and easy techniques that will leave you pain free and in a state of complete comfort. Manual therapy is the art of healing in which specific body muscles and other joints are manipulated to remove the adverse effects of disease and other pain symptoms. It is one of the most easiest and simple forms of therapy which focuses on overall health and welfare of the patients. The primary catch for this treatment is that it is a manually driven treatment which is done by the therapist.

Myofacial release :This technique treats skeletal muscle immobility and pain by relaxing contracted muscles, improving blood and lymphatic circulation, and stimulating the stretch reflex in muscles. Fascia is a thin, tough connective tissue that wraps around most structures within the human body. When the tissue becomes restricted, overuse, or inactive, it will often result in pain and diminished blood flow.
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Massage therapy: This type of therapy manipulates the muscles and other soft tissues of the body. This is used to relieve pain, reduce stress, increase relaxation, address anxiety and depression, and aid in general wellness.

Muscle energy technique: This is a form of manual therapy that uses gentle muscle contractions of the patient to relax and lengthen muscles and normalize joint motion. This is often used to patients who suffer from muscle spasms. Lengthening shortened or spastic muscles will help to improve range of motion.
Spinal decompression and traction: This type of therapy assesses the reaction of one’s body when forces are applied to the spine. In a spinal traction procedure, a traction table is used to pull on the spine. The body will then react by tightening up the muscles allowing the spine to heal properly.  In a spinal decompression assessment, how much force the body is pulling back with is measured
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Mobilization : With the use of mobilization, it involves a slower movement of a joint or muscles in a specific direction.
Manipulation: By using their hands, the practitioners will apply pressure on muscle tissues and orchestrate the joints through measured movements of speed, force, and distances. Manipulation involves a quick, small thrust to a joint or muscles to provide immediate pain relief and improved mobility
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Huber Spine Force Machine



This device provides exercise therapy to individuals. This is proven to be an effective method for lower back pain treatment. Patients stand on a moving platform and use handlebars to achieve various exercises and improvements in balance and coordination.
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Laser therapy: This is a non-invasive technique that involves the application of low power light to increase the speed, quality, and strength of tissue repair, resolve inflammation, and reduce pain. Low level laser technology is found to be safer than medication, used to target a specific area, provides faster healing, and is safe for the skin.
Weight loss: Being overweight can put a lot of stress to one’s musculoskeletal system as the body is not familiar with the excess amount of weight. By being more active and eating a healthier diet, losing weight will help relieve the stress on one’s joints and muscles.
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Electrotherapy: This type of therapy requires the use of electrical energy to reduce pain, improve circulation, repair tissues, strengthen muscles, and promote bone growth. This technique involves a device with wires attached to adhesive electrode pads that can be placed on the skin of the patient. Once the electrodes are attached, mild electric current is sent to the skin through the electrodes.

Orthotic Therapy

This type of therapy involves creating customizable orthotics to help align the foot and ankle into the optimum position for efficiency and comfort. This is designed to help correct foot imbalances and alleviate pain and strain on your body. Orthotic therapy is commonly used to reduce foot pain, arch/heel pain, leg/knee pain, and hip and back pain.
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Symptoms of Sciatica

The fundamental indication of having a problematic sciatica is a severe pain anyplace along the sciatic nerve; from the lower back, through the hips and down the back of either leg.

Other regular indications of sciatica include:

  • A feeling of numbness in the leg along the nerve
  • Severe tingling sensation (sticks and needles) in the feet and toes
  • This torment can run in seriousness and might be increased by sitting idle for long periods.

Causes of Sciatica

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Sciatica is a typical side effect of a few distinctive ailments; be that as it may, an expected 90 percent of cases are expected to occur because of a herniated (slipped) disc. The spinal section is comprised of three sections:
  1. Vertebra (singular bones in the spine that provide protection to the hidden nerves)
  2. Nerves
  3. Backbone Disks
Backbone Disks are made of ligament, which is a solid and strong material; the ligament goes about as a pad between every vertebra and enables the spine to be adaptable. A herniated plate happens when a circle is pushed out of its alignment, putting weight on the sciatic nerve.
Different reasons for sciatica include:
  1. Lumbar spinal stenosis - narrowing of the spinal cord in the lower back.
  2. Spondylolisthesis - a condition where the backbone disk slips forward over the vertebra beneath it.
  3. Tumours inside the spine - these may put pressure and compress the foundation of the sciatic nerve.
  4. Infection - Effects the spinal cord.
  5. Other causes - for example, injury within the spine.
  6. Cauda equina disorder - an uncommon yet genuine condition that influences the nerves in the lower portion of the spinal cord; it requires prompt medical attention.
There is no single cause of Sciatica. It can be caused due to multiple reasons.

Risk Factors of Sciatica

There are some common risk factors as well which have been attributed to Sciatic Nerve Pain. These factors are

  1. Age

Most aged people and especially the lot between 30 and 40 years of age have the chance of developing Sciatica as with age our bodies become vulnerable to diseases.

  1. Profession

Mostly those jobs that require heavy weights to be lifted for a long period of time can cause damage to the backbone and increase the chances of the sciatic nerve being compressed

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  1. Sedentary Lifestyle
Mostly those people who sit for long periods of time and prefer a less active lifestyle are prone to developing Sciatica as compared to those who have a more active lifestyle. Having a good physical routine can prevent Sciatica from occurring.

Treatment

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Sciatica can be treated in a variety of methods which include
  1. Over the counter pain killers that can help in reduction of the pain
  2. Physical activities such as walking , running and stretching
  3. Hot or cold compression packs that can help in the reduction of pain in the human body. Most of these treatments are available online
 
If the patient suffers from chronic Sciatica then its treatment involves a mixture of self care measures and treatments which include
  1. Physical Therapy in which the body is given physical massage to relieve the pressure from the backbone
  2. Cognitive behaviour therapy is also a viable option that can help in treating chronic pain by training people to manage and react to their painful condition
  3. Painkillers that can help in relieving the pain temporarily
The least preferred option is physical surgery which is opted for in case other treatments and methods fail. In case the pain keeps on increasing despite the treatment done by other methods. The surgical method also has two possible options which are
  1. Lumbar laminectomy
The spinal cord is widened in the area around lower back which reduces pressure on the nerves around that.
  1. Discectomy
A complete herniated disc is removed and the pressure on the sciatic nerve in that area is relieved for further actions.
It is totally the decision and discretion of your surgeon that whichever path and option he selects for you. Before operating on you he will consider the effects of other treatment methods on your body and backbone and see if they have had a viable effect or not. Only in the least preferred case your surgeon will opt for physical surgery.
In most cases Sciatica will go away on its own as time will pass and surgery won’t be a requirement. Normally it takes around 6 weeks to recover completely from sciatic condition. In case of surgery and operation it will take more time to recover from this condition.

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